Abstract
Study Aim
Recent investigations have suggested that CPR training rates are low within the U.S
and barriers to CPR training are poorly understood. Social media holds great potential
for large scale capture of the public’s CPR training experiences and may illuminate
barriers to CPR training. While studies have examined Twitter data for behaviors associated
with cardiovascular health, no investigation has evaluated Twitter data to understand
public perception of CPR training. We characterized Tweet content about CPR training
and associated sentiment to better understand barriers associated with CPR training.
We hypothesized that negative CPR training impressions would be identifiable as barriers
to CPR training attainment.
Methods
We extracted Tweets from 2011 to 2015 originating in Pennsylvania including the keyword
CPR (n = 8419). A random subset of 1000 tweets was independently coded by two authors
using grounded theory (mean kappa = 0.74). CPR training Tweets were analyzed for subtopic
and sentiment (“positive” or “negative”). Descriptive statistics were used; a chi
squared test was used to examine differences in positive and negative responses.
Results
Of 8419 Tweets, CPR training was the most frequent queried result (16%). Within the
coded 1000 subset, 18% referenced a CPR training experience. Upcoming CPR training
(22%), CPR training curriculum (17%), job-related training (12%), and duration of
training (10%) were the most discussed topics regarding CPR training experiences.
Of those, the majority of CPR training experiences were negative (53% vs. 47%, p < 0.01)
and barriers to CPR training emerged as the primary source of negative experiences.
Conclusions
CPR training is the most referenced theme in CPR Tweets from Pennsylvania, and tweets
were predominately negative, particularly referencing barriers such as time, location,
and duration. Social media is useful for tracking barriers to CPR training attainment
and future CPR education modalities.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to ResuscitationAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Association of bystander and first-responder intervention with survival after out-of-hospital cardiac arrest in North Carolina, 2010–2013.JAMA. 2015; 314: 255-264
- Association of national initiatives to improve cardiac arrest management with rates of bystander intervention and patient survival after out-of-hospital cardiac arrest.JAMA. 2013; 310: 1377-1384
- Early cardiopulmonary resuscitation in out-of-hospital cardiac arrest.N Engl J Med. 2015; 372: 2307-2315
- Recent trends in survival from out-of-hospital cardiac arrest in the United States.Circulation. 2014; 130: 1876-1882
- Are trained individuals more likely to perform bystander CPR? An observational study.Resuscitation. 2011; 82: 523-528
- Rates of cardiopulmonary resuscitation training in the United States.JAMA Intern Med. 2014; 174: 194-201
- Cardiopulmonary resuscitation training disparities in the United States.J Am Heart Assoc. 2017; 6: e006124
- The national academies collection: reports funded by National Institutes of Health.in: Graham R. McCoy M.A. Schultz A.M. Strategies to improve cardiac arrest survival: a time to act. National Academies Press (US), Washington (DC)2018
- Hands-only (compression-only) cardiopulmonary resuscitation: a call to action for bystander response to adults who experience out-of-hospital sudden cardiac arrest: a science advisory for the public from the American Heart Association Emergency Cardiovascular Care Committee.Circulation. 2008; 117: 2162-2167
- Challenges in out-of-hospital cardiac arrest – a study combining closed-circuit television (CCTV) and medical emergency calls.Resuscitation. 2015; 96: 317-322
- Association of neighborhood characteristics with bystander-initiated CPR.N Engl J Med. 2012; 367: 1607-1615
- Disparities in bystander CPR provision and survival from out-of-hospital cardiac arrest according to neighborhood ethnicity.Am J Emerg Med. 2014; 32: 1041-1045
- Barriers to calling 911 and learning and performing cardiopulmonary resuscitation for residents of primarily Latino, high-risk neighborhoods in Denver, Colorado.Ann Emerg Med. 2015; 65 (e2): 545-552
- Video-only cardiopulmonary resuscitation education for high-risk families before hospital discharge: a multicenter pragmatic trial.Circ Cardiovasc Qual Outcomes. 2016; 9: 740-748
- Retention of CPR skills learned in a traditional AHA Heartsaver course versus 30-min video self-training: a controlled randomized study.Resuscitation. 2007; 74: 476-486
- Dissemination of CPR video self-instruction materials to secondary trainees: results from a hospital-based CPR education trial.Resuscitation. 2016; 100: 45-50
- Decoding twitter: Surveillance and trends for cardiac arrest and resuscitation communication.Resuscitation. 2013; 84: 206-212
- The Latest in Resuscitation Science Research: Highlights from the American Heart Association’s 2017 Resuscitation Science Symposium.J Am Heart Assoc. 2018; 7: e008589
- Twitter as a potential data source for cardiovascular disease research.JAMA Cardiol. 2016; 1: 1032-1036
- Twitter Usage.2017
Article info
Publication history
Published online: March 12, 2018
Accepted:
March 5,
2018
Received in revised form:
February 28,
2018
Received:
August 21,
2017
Identification
Copyright
© 2018 Elsevier B.V. All rights reserved.
